Why does Thane live as a man?

To keep her sister beyond the reach of danger.

What binds Thane to Damian?

Her blood neutralizes the toxin killing him.

My Only Antidote Pretends to Be a Man

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My Only Antidote Pretends to Be a Man — A woman disguised as a man becomes the sole cure for a ruthless mafia boss's fatal condition.

Thane has spent years passing as male to shield her younger sister from the city's unseen threats. The ruse collides with Damian, the syndicate's brutal head, when her blood proves to be the only antidote for the toxin consuming him. Bound by this biological leverage, they are pulled into a tightening circle of rival kin and buried treacheries. Forced proximity ignites a volatile pull between them as schemes press close from every side, threatening to expose the lie that kept her family safe.

Quick answers

Why does Thane live as a man?: To keep her sister beyond the reach of danger.
What binds Thane to Damian?: Her blood neutralizes the toxin killing him.